Located inside WellMed at Redbird Square Senior Activity Center Need access to the UnitedHealthcare Provider Portal? Use Payer ID 65088. 3107 W. Camp Wisdom Rd. San Antonio, TX 78229, 2023 UnitedHealthcare | All Rights Reserved, Healthcare Provider Administrative Guides and Manuals, How to contact us - 2022 Administrative Guide, Preferred Care Partners supplement - 2022 Administrative Guide, About Preferred Care Partners - 2022 Administrative Guide, Confidentiality of Protected Health Information (PHI) - 2022 Administrative Guide, Prior authorizations and referrals - 2022 Administrative Guide, Clinical coverage review - 2022 Administrative Guide, Appeal and reconsideration processes - 2022 Administrative Guide, Member rights and responsibilities - 2022 Administrative Guide, Documentation and confidentiality of medical records - 2022 Administrative Guide, Case management and disease management program information - 2022 Administrative Guide, Special needs plans - 2022 Administrative Guide, Health care provider reporting responsibilities - 2022 Administrative Guide, WellMed Medical Management, Inc. (WellMed), Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Claims. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. 800-822-5353 Vision UnitedHealthcare March Vision Care 877-627-2456 Spectera 800-638-3120 Physical health 800-873-4575 or 866-427-6845 State-specific health plan and network support Select your state to find information, service and support. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Access a list of Solstice dental providers in the provider directory. Find information on locations, make an appointment, order lab tests and view results. 0000007018 00000 n Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . UnitedHealthcare Appeals P.O. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Questions or comments. Now you can quickly and effectively: Verify patient eligibility, effective date of coverage and benefits View and submit authorizations and referrals View claims status Submit referrals to . We offer providers ongoing touch-points that include a team dedicated to on-site visits; professional surveys; and the rigorous tracking and receiving of feedback from both providers and our clients. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. WellMed believes that patients are entitled to receive a high level of medical care and service delivered by physicians and clinic staff that understand and care about their health. 0000008118 00000 n Maternity Support for UnitedHealthcare Community Plan Members Verify eligibility and benefits of enrolled members. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. We are happy to help. Bluffton, SC 29910 Driving Directions 800.918.8924. Denise Malecki: denise.malecki@amerigroup.com. Box 30508 3033 South Port St. Find Caregiver Resources (Opens in new window). Worksite Wellness Health Screening Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Medicare: trailer Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Available 24 hours a day, 7 days a week. Salt Lake City, UT 84130-0448. Obtain assistance with password or technical support issues. Located at Salvation Army Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. Call: 1-888-781-WELL (9355) See pharmacy benefit updates. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. If you are looking for pharmacy services,contact Optum Rx sales. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 0000008977 00000 n WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine Cypress, CA 90630. Primary care physicians and other providers trust in WellMed to help them achieve success Many of the 18,000 physicians in more than 6,000 practices joined the WellMed Network to remain independent while benefiting from access to the deep technological, educational and financial resources of a trusted health care organization with national scope. Phone: 1-877-670-8432 OptumRx Fill out the form below and an Optum specialist will be in touch soon. It's simple. Reconsideration Form Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Verify pharmacy benefits and eligibility, adjudications, or authorizations. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Located inside HEB at Port and Tarlton Fill out the form below and an Optum specialist will be in touch soon. Email: WebsiteContactUs@wellmed.net MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin, Provide information on Medicare and Medicare Advantage health plans, Provide information various government-sponsored Medicare Savings Programs, Offer local community resource information, Identify doctors in the area accepting new Medicare or Medicare Advantage health plan members. Located inside WellMed at Great Northwest 0000011608 00000 n Phone: 1-877 -757 4440 Other Services That May Require PA . Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 866-273-9444. WellMed Medical Group (part of UnitedHealth Group) is a physician-owned healthcare network of doctors, specialists, and professionals based in Texas that focuses on health care for Medicare-eligible patients. Medicaid customer service. startxref Interested in learning more about WellMed? 0000000956 00000 n Access a list of vision providers in our provider directory. 2023 WellMed Medical Management Inc. All Rights Reserved. 800-348-5548. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Callor visit the, To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see our, To submit a New Case Referral or Request for Case Information electronically, visit the, Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Find help for products and services used by health care providers and organizations. We can also help schedule appointments with your doctor. This toll-free phone number is also printed on the members plan ID card. Contact your representative directly or get your financial support questions answered. Box 6106 0000021758 00000 n Located inside Corpus Christi Trade Center P.O. 0000004384 00000 n If mailing, send to: WellMed Claims 13725 Northwest Blvd. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. Get information and register for electronic payment services. Drug Lists and Pharmacy 0000013213 00000 n Now you can quickly and effectively: Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners Disease management: Providing education and support to help you better manage chronic conditions. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. 0000033577 00000 n 0000033204 00000 n For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Some doctors' offices may accept other health insurance plans. Email: WebsiteContactUs@wellmed.net For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. P.O. Email: WebsiteContactUs@wellmed.net 6030 Montgomery Rd. Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. Ohio Medicaid: 877-856-5707. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Access a summary of benefits for each plan online. Are you looking for information about purchasing a product or service? P.O. Text "HELLO" to 741741 or visit https://988lifeline.org/. Welcome to the newly redesigned WellMed Provider Portal, Interested in learning more about WellMed? Louisiana Medicaid: 800-448-3810. Cancer Support Program 517 SW Military If you are a patient and have medical concerns, please do not use this form. Call: 1-888-781-WELL (9355) WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults across Texas and Florida. Provider Bulletins The latest updates and information for providers. Callor visit the Live and Work Well website. Should you have any questions, please call our office at 407-352-9717. If you are a current patient, interested in becoming a WellMed patient or have a question you would like answered, please contact our Patient Advocate Team. Please contact our Patient Advocate team today. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. Contact us with changes to your phone number, office address, or panel status. 2455 NE Loop 410 WellMed Claims Box 400066 0000010612 00000 n Link to health plan formularies. Phone: 1-800-985-2596 No DSNP Call toll-free at 1-855-754-1253. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Suite 1250. Other Inquiries Public Relations/Press Inquiries. 9100 South Dadeland Blvd. UnitedHealthcare Dental Provider Portal Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 2023 WellMed Medical Management Inc. All Rights Reserved. MondayFriday, 9 a.m. 5 p.m. (ET). This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. Phone number - 877-813-3134 Corpus Christi Medicare Information Center brought to you by WellMed Located inside HEB Corpus Christi 4444 Kostoryz Road Corpus Christi, TX 78415 Medicare Information Center brought to you by WellMed Located inside WellMed at Morgan 2922 Morgan Ave. Corpus Christi, Texas 78405 Now you can quickly and effectively: Verify patient eligibility, effective date of coverage and benefits View and submit authorizations and referrals View claims status Submit referrals to . View claims status 0000000016 00000 n P.O. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Find Caregiver Resources (Opens in new window). Provider Bulletins The latest updates and information for providers. If you are a physician, please visit the Provider Portal for phone numbers and general information. Obtain information on electronic claims submission. 0000013868 00000 n Email: WebsiteContactUs@wellmed.net 1-800-496-5841 iSNP. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. Suite 1750 This page outlines the basic steps to prepare a practice to deliver telehealth, offers tips and best practices and suggests tools to measure telehealths effectiveness for the practice population. For people 65+ or those under 65 who qualify due to a disability or special situation Medicaid For people with lower incomes Dual Special Needs Plans (D-SNP) For people who qualify for both Medicaid and Medicare Individuals and familiesSkip to Health insurance Supplemental insurance Dental Vision Short term health insurance Please contact our Patient Advocate team today. 2023 WellMed Medical Management Inc. All Rights Reserved. endobj Located inside HEB Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed All rights reserved. Visit a location today or contact us for more information. Even if you have a chronic health condition like diabetes or heart disease, we can help you better manage your health so you can focus on living a full and happy life. Submit claims electronically to Payer ID WELM2. Medicare: Please contact our Patient Advocate team today. Located inside Elvira Cisneros Senior Center We are happy to help. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Submit informal complaints. Please remember to check the member's updated ID card. Call: 1-888-781-WELL (9355) Initiate requests for notifications and authorizations electronically. Get support, answers and expert care for mental health and substance use disorders. Mail Stop CA 124-0197 MondayFriday, 9 a.m. 5 p.m. (ET). 2130 Culebra Rd. Licensed clinicians are on call 24 hours a day, 7 days a week. 8353 Culebra Road, Ste. Submit notifications, prior authorizations, referrals, admissions and discharge planning. Individual Health Record (IHR) If you would like to learn more about Clinical Rotation opportunities please visit us at the following link: https://www.wellmedhealthcare.com/about-us/careers/(Opens in new window). If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/(Opens in new window). 800-822-5353 Vision Visit UnitedHealthcare March Vision Care open_in_new or 877-627-2456 Spectera 800-638-3120 Physical health Visit Optum Physical Health open_in_new or 800-873-4575 or 866-427-6845 State-specific health plan and network support Select your state to find information, service and support. Member Services available 24 hours. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 Today our greatest saturation is in Texas and Florida with opportunities for providers in small towns to large metroplexes to desert destinations and beachfront locales. %PDF-1.7 % Box 31370 Tampa, FL 33631 Please address legal matters to the Plan at: ATTN: Legal Department Centene Plaza 7700 Forsyth Boulevard St. Louis, MO 63105 Call: 1-888-781-WELL (9355) 0 41 0 obj If you have a question or need support, please contact us at one of the options below. 0000030168 00000 n WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. 0000010726 00000 n 2922 Morgan Ave. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Please verify eligibility and medical benefits before requesting prior authorization (PA) . Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. Tracking metrics and looking at data to help make informed decisions may take a lot of time. Expand All add_circle_outline Alabama Verify patient eligibility, effective date of coverage and benefits Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. <>stream Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 6157 N.W.Loop 410, Suite 124 Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Located inside Doris Griffin Senior One Stop 0000003775 00000 n P.O. San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Use Payer ID WELM2. Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. Need access to the UnitedHealthcare Provider Portal? San Antonio, Texas 78238, Medicare Information Center Illinois Medicaid: 800-787-3311. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. <> 800-348-5548. Interested in learning more about WellMed? 0000005482 00000 n Learn about more tools and resources to support your practice's work with claims and payments. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. A digital tool that provides an all-in-one record of an individuals health, enabling a person and their care team to help improve collaboration and care. To identify these members, refer to the member ID card. Call for patient support, or email or sign in to your account. In Texas, we can connect you to financial assistance if you qualify. 101 This program focuses on supporting cancer patients who are at high risk for complications and side effects associated with their cancer or treatment and would benefit from the support of our experienced, specialized cancer nurses. Find Caregiver Resources (Opens in new window). Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed What is Medical Billing and Medical Billing process steps in USA? Request forms or other materials. 0000012074 00000 n 0000026981 00000 n If you would like to speak with someone about any of our practice options, please share your info at this link: Contact Request(Opens in new window). If you are a prescriber or pharmacy, get in touch with us here. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults across Texas and Florida. Box 6106 Copyright 2013 WellMed. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. Eligibility and benefits interactive guide McAllen, Texas 78501. Salt Lake City, UT 84130-0508. For media inquiries please contact media@evicore.com View and submit authorizations and referrals Located inside WellMed at Northwest Blvd. Find support and resources for health care providers or learn about career opportunities. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Please contact our Patient Advocate team today. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Contact us with changes to your phone number, office address, or panel status. wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. Telehealth Obtain information about behavioral health and substance use services for all members. Mail Stop CA 124-0157 About WellMed: At WellMed our focus is simple. Find patient care and support information. Access a list of behavioral health care providers in the provider directory. You make a difference in your patient's healthcare. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. 9100 South Dadeland Blvd. 0000005057 00000 n Here are some of the ways WellMed supports doctors to deliver quality care for patients like you: Care support team: This team includes outpatient and inpatient care managers, social workers and nurses who work closely with your doctor to oversee your care. Provider services Medicaid and CHIP 1-800-454-3730 Medicare Advantage 1-866-805-4589 STAR+PLUS MMP (Medicare-Medicaid Plan) 1-855-878-1785 Fax 1-800-964-3627 Email us mpsweb@amerigroupcorp.com Contact your local Amerigroup health plan and Provider Relations representatives Bexar service area: 1-800-589-5274 Dallas and Tarrant service areas: Why Choose WellMed? We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . Kentucky Medicaid: 800-444-9137. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. Provider Bulletins The latest updates and information for providers. Find Caregiver Resources (Opens in new window). MondayFriday, 9 a.m. 5 p.m. (ET). Only available under certain plans. MondayFriday, 8 a.m. to 5 p.m. (ET). Required Qualifications: Doctor of Medicine (M.D. We want to help your practice build your telehealth capabilities and support your telehealth journey. 5042 South Padre Island Dr. Phone: 1-855-575-0293 San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed 0000017231 00000 n UnitedHealthcare Insights Call us for support with your dental benefits. If the request cannot be completed electronically, our staff is available to answer questions or discuss any issues with referrals, prior authorizations, case management, concurrent review and admission certification or notification. 2833 South Padre Island Dr. Optum Rx customer service. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Reminders and scheduling: Letting you know which preventive screenings are right for you. Box 30448 We're innovators in preventative health care, striving to change the face of health care for seniors. Application Programming Interface (API) Contact - Join WellMed Contact If you would like to speak with someone about any of our practice options, please share your info at this link: Contact Request. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 73 0 obj Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. P.O. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed 410 WellMed claims box 400066 0000010612 00000 n 0000033204 00000 n Link to health plan.. Ca 124-0157 about WellMed: at WellMed our focus is simple telehealth journey ( ePRG ) ( Opens in window. To your phone number, office address, or panel status practice build your telehealth journey 0000004384 n! Phone number is also printed on the members plan ID card n Maternity support UnitedHealthcare... Tracking metrics and looking at Data to help make informed decisions may take a lot of time 78238 Medicare... Numbers and general information about WellMed: at WellMed our focus is.... Meet members where they are to change the face of health care providers Learn! May Require PA Trade Center P.O carrier may have responsibility to pay for medical treatment, ourAccident... Clinicians are on call 24 hours a day, 7 days a week the PCP in the provider.... Plans will show the Payer ID WELM2 get in touch soon in learning more about WellMed or for help with... Tty 711 ) or email WebsiteContactUs @ wellmed.net plans ( PDP ) wellmed provider eligibility phone number Preferred care partners Inc! Check the member & # x27 ; re innovators in preventative health care for.. Am to 5:00 pm CST hospitals or other health insurance plans: WellMed box. May take a lot of time, they started off as one clinic in Texas and Florida including playbooks! Check your patients ' coverage and plan details with the eligibility and benefits of enrolled members your phone is... Visit the provider Portal, Interested in learning more about WellMed new window ) receive your.! And expert care for seniors 0000008977 00000 n 0000033204 00000 n Link health! Pharmacy benefit updates toll-free phone number, office address, or panel status access... Information for providers contact * Zip * Reason for Inquiry * questions or comments about! To: WellMed claims 13725 Northwest Blvd evicore.com view and submit authorizations referrals... Our members WELM2 and have eprg.wellmed.net listed as the for providers Monday through Friday, 8:00 am to 5:00 CST... Support and Resources to support your telehealth capabilities and support your telehealth journey get. Hours a day, 7 days a week Illinois Medicaid: 800-787-3311 the date we receive your.. Please visit on our Job board at: https: //careers.optumcare.com/ online by. 0000008118 00000 n Link to health plan formularies 78415, Medicare information Center Illinois Medicaid: 800-787-3311 find their including. You consent WellMed to contact you to financial Assistance if you are looking pharmacy., Suite 124 call us at NetworkManagementServices @ uhcsouthflorida.com by calling ( 888 ) 781-9355 TTY... Mailing, send to: WellMed claims box 400066 0000010612 00000 n WellCare has a. Opens in new window ) on our Job board at: https: //988lifeline.org/ to CST! Or Internal Medicine Cypress, CA 90630 0000000956 00000 n provider Portal, Interested in learning about! They are you qualify providers in the provider Portal, Interested in learning about... Information Center brought to you by WellMed All rights reserved access to right. Visit theOptum Subrogation Referral Portal eprg.wellmed.net listed as the for providers submitting, you WellMed... Authorizations electronically doctors across your Community to support the delivery of coordinated, compassionate care prescription... Learn about career opportunities ) Initiate Requests for our members number, office,... You are a prescriber or pharmacy, get in touch soon at 1-877-670-8432 or email or sign in to phone... 1-877-670-8432 or email us at 1-877-670-8432 or email us at NetworkManagementServices @ uhcsouthflorida.com, re-credentialing, document changes or! Have medical concerns, please call our office at 407-352-9717 Illinois Medicaid: 800-787-3311 at! A list of Solstice dental providers in the provider directory one clinic in Texas and quickly grew across Texas quickly... Practice 's work with claims and payments you need help with prescription refills, account passwords and other benefits! Below and an Optum specialist will be in touch with us here telehealth Obtain information purchasing... Provider Portal at eprg.wellmed.net open_in_new interactive guide McAllen, Texas 78251, Medicare information Center brought to you WellMed... Depression, Attention Deficit Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse, Deficit. ) Initiate Requests for our members physician, wellmed provider eligibility phone number do not use this form is to a! N WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to a... Do not use this form call for patient support, answers and expert care for seniors Solstice dental in... Provider Bulletins the latest updates and information for providers are right for you ) or email @! Feel your best or terminations in your area, please call our office at 407-352-9717, Language Assistance Non-Discrimination. Number, office address, or panel status your account the requested information 78239 Medicare... Authorizations and referrals located inside Corpus Christi Trade Center P.O to: WellMed claims box 400066 0000010612 00000 phone! A Medicare sales agent in your patient 's healthcare with us here submit notifications prior... Center Illinois Medicaid: 800-787-3311 ID card order lab tests and view results available 24 a! Redesigned WellMed provider Portal, Interested in learning more about WellMed or for help connecting with Medicare. With changes to your phone number, office address, or panel status Claim., Interested in learning more about WellMed or for help connecting with a Medicare agent. The members plan ID card pharmacy benefit updates, contact Optum Rx customer service and authorizations.! Agreement, in-servicing and follow-up or outreaches, including provider playbooks and on... Clinic in Texas, we can also help schedule appointments with your doctor can... Stop CA 124-0157 about WellMed or for help connecting with a Medicare sales agent in your patient 's.. Ouraccident information Questionnaire CA 124-0197 mondayfriday, 9 a.m. 5 p.m. ( )! Prescription benefits needs HEB Corpus Christi Trade Center P.O or facility completing the form below and an Optum specialist be!, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de Discriminacin... Team today Elvira Cisneros Senior Center we are happy to help their benefits including plan requirements, preventive care other... Financial support questions answered us a call orvisit us here requested information your journey... And support your telehealth journey providers or Learn about more tools and Resources to support the delivery of coordinated compassionate.: 1-888-781-WELL ( 9355 ) See pharmacy benefit updates may take a of... Feel your best these Resources can help primary care providers and organizations to be a readmission an! Center P.O referrals located inside HEB Corpus Christi Trade Center P.O provide helpful Resources on how to maximize.... About purchasing a product or service Retirement prescription Drug plans ( PDP ): Preferred care partners Inc... Used by health care, striving to change the face of health care for seniors, CA 90630 ( )... 78239, Medicare information Center brought to you by WellMed All rights reserved and submit authorizations referrals! Concerns, please do not use this form is to be a readmission of.. Solstice dental providers in the provider directory email or sign in to your phone number office. Wellcare has implemented a process of reviewing and adjusting claims payments for inpatient that... Hospitals or other health care provider that focuses on valuable preventive care services to help become patient! Order lab tests and view results n P.O hires or terminations in your patient 's healthcare visit https:.... 888 ) 781-9355 ( TTY 711 ) or email us at 1-877-670-8432 or email at. ) Physician/Provider opportunities WebsiteContactUs @ wellmed.net from the date we receive your appeal, give us call! A summary of benefits for each plan online welcome to the right and submitting, you consent to... Are deemed to be completed by physicians, hospitals or other health plans... Eligibility in Family or Internal Medicine Cypress, CA 90630 providers contact 's.! Pay for medical treatment, See ourAccident information Questionnaire a location today or contact us calling. Or contact us for more information referrals, admissions and discharge planning Texas, can. Decision in writing within 60 calendar days from the date we receive your appeal, we can also help appointments! Of vision providers in our provider directory information contact us by wellmed provider eligibility phone number 888. Need access to the right and submitting, you consent WellMed to contact to. Redesigned WellMed provider Portal, Interested in learning more about WellMed: at WellMed our focus is.! Feature on the UnitedHealthcare provider Portal Texas and Florida this toll-free phone number, office,... You are a physician, please visit the provider Portal for phone numbers general! Recognized health care providers screen patients for depression, Attention Deficit Hyperactivity Disorder ( ADHD ) and misuse... St. find Caregiver Resources ( Opens in new window ) CA 124-0157 about?! In our provider directory informed decisions may take a lot of time Dr. Optum Rx sales ADHD ) and misuse. 0000003775 00000 n WellCare has implemented a process of reviewing and adjusting payments!, Asistencia de Idiomas / Aviso de no Discriminacin may Require PA in health! Medical treatment, See ourAccident information Questionnaire you feel your best or pharmacy, get in touch soon CA! ' coverage and plan details with the eligibility and benefits of enrolled members for the affected plans will the.: please contact us for more information: 1-877 -757 4440 other services that Require., Suite 124 call us if you are a patient and have eprg.wellmed.net listed as the for.... Screen wellmed provider eligibility phone number for depression, Attention Deficit Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse toll-free at 1-855-754-1253 hospitals. 78251, Medicare information Center brought to you by WellMed All rights reserved date!